DOI QR코드

DOI QR Code

교정치료 중 광범위한 치경부 탈회를 보이는 치아의 직접 레진 비니어 수복에 관한 증례

Direct resin veneer restoration for cervical decalcification during orthodontic treatment

  • 허유경 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 장훈상 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 황윤찬 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 황인남 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 오원만 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 이빈나 (전남대학교 치의학전문대학원 치과보존학교실)
  • Heo, Yu-Kyeong (Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Chang, Hoon-Sang (Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Hwang, Yun-Chan (Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Hwang, In-Nam (Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Oh, Won-Mann (Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University) ;
  • Lee, Bin-Na (Department of Conservative Dentistry, School of Dentistry, Dental Science Research Institute, Chonnam National University)
  • 투고 : 2022.02.24
  • 심사 : 2022.03.08
  • 발행 : 2022.03.31

초록

고정성 교정치료 중 치아의 협면의 치경부 탈회가 종종 발생한다. 이번 증례보고에서는 교정치료 중 발생한 치아의 치경부 탈회를 직접 레진 비니어 수복을 통해 치료한 2가지 증례를 보고하고자 한다. 우식이 없는 초기 병변은 주기적인 불소도포, 식이조절, 구강위생 개선을 통해 재광화될 수 있으나 점차 진행됨에 따라 적절한 수복치료가 필요하며 병소 발생 후의 치료보다 예방에 중점을 두는 것이 더욱 바람직하다.

Decalcification of the buccal surface of the teeth often occurs during fixed orthodontic treatment. This case report describes two cases in which cervical decalcificated teeth that occurred during orthodontic treatment were treated with direct resin veneer restoration. Early lesions without caries can be remineralized through periodic fluoride application, diet control, and oral hygiene improvement. As it progresses, appropriate repair treatment is required, and it is more preferable to focus on prevention rather than treatment after the occurrence of the lesion.

키워드

과제정보

This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (No. 2019R1F1A1060935 and 2019R1A5A2027521).

참고문헌

  1. Ogaard B, Rolla G, Arends J, Ten Cate J. Orthodontic appliances and enamel demineralization. Part 2. Prevention and treatment of lesions. Am J Orthod Dentofacial Orthop 1988;94:123-8. https://doi.org/10.1016/0889-5406(88)90360-5
  2. Zimmer BW, Rottwinkel Y. Assessing patient-specific decalcification risk in fixed orthodontic treatment and its impact on prophylactic procedures. Am J Orthod Dentofacial Orthop 2004;126:318-24. https://doi.org/10.1016/j.ajodo.2003.09.031
  3. Ciancio D. A comparison of plaque accumulation in bonded versus banded teeth. J Dent Res 1985;64:325.
  4. Chadwick BL, Roy J, Knox J, Treasure ET. The effect of topical fluorides on decalcification in patients with fixed orthodontic appliances: a systematic review. Am J Orthod Dentofacial Orthop 2005;128:601-6. https://doi.org/10.1016/j.ajodo.2004.07.049
  5. Cate JM, Arends J. Remmeralization of artificial enamel lesions in vitro. Caries Res 1977;11:277-86. https://doi.org/10.1159/000260279
  6. Felippe LA, Baratieri LN. Direct resin composite veneers: masking the dark prepared enamel surface. Quintessence Int 2000;31:557-62.
  7. Zachrisson BU. Oral hygiene for orthodontic patients: current concepts and practical advice. Am J Orthod 1974;66:487-97. https://doi.org/10.1016/0002-9416(74)90110-9
  8. Hwang CJ. Decalcification. J Korean Dent Assoc 1996;34:561-8.
  9. Mitchell L. Decalcification during orthodontic treatment with fixed appliances - an overview. Br J Orthod 1992;19:199-205. https://doi.org/10.1179/bjo.19.3.199
  10. Heymann GC, Grauer D. A contemporary review of white spot lesions in orthodontics. J Esthet Restor Dent 2013;25:85-95. https://doi.org/10.1111/jerd.12013
  11. Torlakovic L, Olsen I, Petzold C, Tiainen H, Ogaard B. Clinical color intensity of white spot lesions might be a better predictor of enamel demineralization depth than traditional clinical grading. Am J Orthod Dentofacial Orthop 2012;142:191-8. https://doi.org/10.1016/j.ajodo.2012.03.025
  12. Al-Khateeb S, Forsberg CM, de Josselin de Jong E, Angmar-Mansson B. A longitudinal laser fluorescence study of white spot lesions in orthodontic patients. Am J Orthod Dentofacial Orthop 1998;113:595-602. https://doi.org/10.1016/S0889-5406(98)70218-5
  13. Lasfargues J, Bonte E, Guerrieri A, Fezzani L. Minimal intervention dentistry: part 6. Caries inhibition by resin infiltration. Br Dent J 2013;214:53-9. https://doi.org/10.1038/sj.bdj.2013.54
  14. Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent 2011;21:241-8. https://doi.org/10.1111/j.1365-263X.2011.01126.x
  15. Croll TP. Enamel microabrasion for removal of superficial dysmineralization and decalcification defects. J Am Dent Assoc 1990;120:411-5. https://doi.org/10.14219/jada.archive.1990.0127
  16. Chen HY, Manhart J, Kunzelmann KH, Hickel R. Polymerization contraction stress in light-cured compomer restorative materials. Dent Mater 2003;19:597-602. https://doi.org/10.1016/S0109-5641(02)00110-0
  17. Stecksen-Blicks C, Renfors G, Oscarson ND, Bergstrand F, Twetman S. Caries-preventive effectiveness of a fluoride varnish: a randomized controlled trial in adolescents with fixed orthodontic appliances. Caries Res 2007;41:455-9. https://doi.org/10.1159/000107932